Understanding MCL Strains and Their Impact on the Knee

21 Apr, 2025 | Dr. Malik | No Comments

Understanding MCL Strains and Their Impact on the Knee

Injuries to the knee are among the most common musculoskeletal complaints, especially for individuals involved in sports, physical activity, or occupations requiring repetitive motion. One such injury is a medial collateral ligament (MCL) strain, which can sometimes occur alongside strain in the medial quadriceps and medial gastrocnemius muscles. 

What Is the MCL?

 

The medial collateral ligament is a key stabilizer located on the inner side of the knee. It connects the thigh bone (femur) to the shin bone (tibia) and helps prevent the knee from bending inward. MCL injuries typically occur due to a force that pushes the knee sideways, such as during sudden twisting motions, falls, or direct impact to the outer side of the knee.

Associated Muscle Strains: Medial Quadriceps and Gastrocnemius

 

When the MCL is strained, it’s not uncommon for surrounding muscles—particularly the medial quadriceps and medial gastrocnemius—to become overworked or strained as they try to stabilize and support the injured area.

• The medial quadriceps, part of the larger quadriceps muscle group, helps with knee extension and alignment.

• The medial gastrocnemius, part of the calf, assists in both knee flexion and ankle movement.

Strain in these muscles can lead to added tension, soreness, and altered movement patterns that further impact knee function.

Common Symptoms

 

Patients with this type of injury may experience:

• Inner knee pain and tenderness

• Swelling or stiffness

• Discomfort during walking, stair climbing, or squatting

• Weakness or tightness in the thigh or calf

Treatment and Recovery

 

Management of an MCL strain with associated muscle involvement typically includes:

Initial rest and protection of the knee

Manual therapy to relieve muscle tension and support healing

Targeted exercises to strengthen the quadriceps, hamstrings, and calf muscles

Stretching and mobility work to restore flexibility

Gradual return to activity, guided by a physiotherapist or chiropractor

The goal is to reduce pain, restore normal movement, and prevent future injury by improving overall knee stability.

Takeaway

 

A strain to the MCL, particularly when combined with muscle involvement, can disrupt daily activities and athletic performance. With timely care and a tailored rehabilitation plan, most individuals can expect a full recovery and return to their regular routines.

If you’re experiencing knee pain or suspect a ligament or muscle strain, book an assessment with a qualified healthcare provider to get the right diagnosis and start your path to recovery.

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